麻仁(二升,去壳) 芍药(炒) 枳实(麸炒,各半斤) 浓朴(姜汤炒) 大黄(酒
浸) 杏
仁(去皮尖,各一斤)
伤寒瘥后,胃强脾弱,约束津液不得四布,但输膀胱,致小便数而大难者,主此方以通
肠润燥。
枳实、大黄、浓朴、承气物也;麻仁、杏仁,润肠物也;芍药之酸,敛津液也。然必胃
强者能用之,若非胃强,则承气之物在所禁矣。
竹叶(二把) 石膏(一斤) 半夏(制) 粳米(各半升) 人参(三两,去芦) 甘
草(一
两,炙)
伤寒瘥后,虚羸少气,气逆欲吐者,此方主之。
伤寒由汗、吐、下而瘥,必虚羸少气,虚则气热而浮,故逆而欲吐。竹叶、石膏、门冬
之寒,所以清余热;人参、甘草之甘,所以补不足;半夏之辛,所以散逆气;用粳米者,恐
石膏过寒损胃,用之以和中气也。
乌梅(三十枚,去核) 人参(去芦) 细辛(去土) 黄柏(去皮) 附子(炮) 桂
枝(净洗
,炮,各六钱) 黄连(一两六钱,炒) 干姜(一两,炮) 当归(洗净) 蜀椒(去目
及闭目者
,各四钱)
胃虚脏寒,得食而呕,蛔从上出者,此方主之。
乌梅味酸,蛔得之而软;连、柏味苦,蛔得之而伏;椒、细味辛,蛔得之而死;干姜、
附、桂,温脏寒也;人参、当归,补胃虚也。
Semen Cannabis (Huo Ren, 火麻仁) (2 sheng, husked), Radix Paeoniae Alba (Baishao, 白芍) (stir-fried), Fructus Aurantii Immaturus (Zhishi, 枳实) (bran-stir-fried, each 0.5 jin), Cortex Magnoliae Officinalis (Houpo, 厚朴) (stir-fried with ginger juice), Radix et Rhizoma Rhei (Dahuang, 大黄) (soaked in wine), Semen Armeniacae Amarum (Xingren, 杏仁) (skin and tip removed, each 1 jin).
After the recovery from Cold Damage (Shanghan, 伤寒), if the Stomach Qi is strong while the Spleen Qi is weak, constraining the Body Fluids so they cannot distribute evenly throughout the body but only flow to the Bladder, resulting in frequent urination and dry, difficult defecation, this formula is indicated to unblock the intestines and moisten dryness.
Zhishi, Dahuang, and Houpo are ingredients of Chengqi Decoction (Chengqi Tang, 承气汤); Huoren and Xingren are ingredients that moisten the intestines; the sour nature of Baishao astringes the Body Fluids. However, this formula can only be used when Stomach Qi is strong; if Stomach Qi is not strong, the Chengqi-type ingredients are contraindicated.
Bamboo Leaf (Zhuye, 竹叶) (2 handfuls), Gypsum Fibrosum (Shigao, 石膏) (1 jin), Rhizoma Pinelliae Preparatum (Banxia, 半夏) (processed), Oryza Sativa (Jingsmi, 粳米) (each 0.5 sheng), Radix Ginseng (Renshen, 人参) (3 liang, radix removed), Radix Glycyrrhizae Preparata (Gancao, 甘草) (1 liang, honey-fried).
After recovery from Cold Damage, if there is emaciation with shortness of breath and rebellious Qi causing a desire to vomit, this formula is indicated.
Cold Damage recovered through sweating, vomiting, or purging inevitably leads to emaciation and shortness of breath. Deficiency generates internal heat and causes Qi to float upward, leading to rebellious Qi and a desire to vomit. The cold nature of Zhuye, Shigao, and Radix Ophiopogonis (Mendong, 麦冬) clears residual heat; the sweet nature of Renshen and Gancao tonifies deficiency; the acrid nature of Banxia disperses rebellious Qi; Jingsmi is used because it is feared that Shigao's excessive coldness might damage the Stomach, so it is included to harmonize Stomach Qi.
Fructus Mume (Wumei, 乌梅) (30 pieces, pits removed), Radix Ginseng (Renshen, 人参) (radix removed), Herba Asari (Xixin, 细辛) (earth removed), Cortex Phellodendri (Huangbai, 黄柏) (bark removed), Radix Aconiti Lateralis Preparata (Fuzi, 附子) (pounded), Ramulus Cinnamomi (Guizhi, 桂枝) (washed clean, pounded, each 6 qian), Radix Coptidis (Huanglian, 黄连) (1 liang 6 qian, stir-fried), Rhizoma Zingiberis Preparatum (Ganjiang, 干姜) (1 liang, pounded), Radix Angelicae Sinensis (Danggui, 当归) (washed clean), Fructus Zanthoxyli (Shujiao, 蜀椒) (eyes and closed ones removed, each 4 qian).
If Stomach Qi is deficient and the Zang organs are cold, leading to vomiting after eating and the expulsion of roundworms (Ascaris) from the mouth, this formula is indicated.
Wumei is sour, making roundworms soft upon contact; Huanglian and Huangbai are bitter, causing roundworms to become dormant upon contact; Shujiao and Xixin are acrid, killing roundworms upon contact; Ganjiang, Fuzi, and Guizhi warm the coldness of the Zang organs; Renshen and Danggui tonify the deficiency of Stomach Qi.